LATA A SURTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278686

License Status

NOT RENEWED

Business

First Name

LATA

Middle

Last Name

SURTI

Business Name

LATA A SURTI

Original Issue Date

01/15/2021

Effective Date

01/15/2021

Expiration Date

05/31/2022

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022